perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2020-65-5-66-72perinatology-1239Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASESПрименение режима адаптивной поддерживающей вентиляции легких у ребенка с коронавирусной пневмонией на фоне сахарного диабетаAdaptive supportive ventilation in a child with coronavirus pneumonia and diabetes mellitushttps://orcid.org/0000-0001-6067-681XДмитриевД. В.DmitrievD. V.

Дмитриев Дмитрий Валерьевич — доктор медицинских наук, профессор кафедры хирургии №1 с курсом анестезиологии и интенсивной терапии Винницкого национального медицинского университета им. Н.И. Пирогова, рук. Центра лечения боли, заведующий отделением анестезиологии и реанимации Винницкого областного эндокринологического центра,

21000 Винница, ул. Пирогова, д. 56

https://orcid.org/0000-0002-9025-9141ДобровановА. Е.DobrovanovA. E.

Доброванов Александр Евгеньевич — доктор медицинских наук, врач-педиатр и сотрудник кафедры педиатрии Клиники детей и подростков Андрея Гетлика Словацкого медицинского университета и университетской больницы в Братиславе (Словакия), сотрудник Университета здоровья и социальных наук Святой Елизаветы.

Братислава, 851 07, ул. Антолская, д. 11

КралинскийК.KralinskyK.

Кралинский Карол— доктор медицинских наук, профессор, ведущий педиатр Банскобыстрицкого края, ведущий педиатр второй детской клиники факультетской больницы с поликлиникой в Банской Быстрице, профессор на факультете здравоохранения Словацкого МУ в Братиславе с филиалом в г. Банская Быстрица.

974 01, Банская Быстрица, Площадь Людвика Свободы, 6818/4

https://orcid.org/0000-0002-0591-3226БабелаР.BabelaR.

Бабела Роберт — доктор медицинских наук, профессор, глава института медицинских дисциплин университета здоровья и социальных наук Святой Елизаветы; экономист по вопросам здравоохранения Национального института онкологии.

810 00, Братислава, Площадь 1 Мая, д. 1

Винницкий национальный медицинский университет им. Н.И. Пирогова; Винницкий областной клинический высокоспециализированный эндокринологический центрУкраинаVinnytsya Pirogov National Medical University; Vinnytsya Regional Clinical Highly Specialized Endocrinology CenterUkraineКлиника детей и подростков А. Гетлика, Словацкий медицинский университет и Университетская больницаСловакияGetlik Clinic for Children and Adolescents, Slovak Medical University and University Hospital; St. Elizabeth University of Health and Social SciencesSlovakiaВторая детская клиника Словацкого медицинского университета и детской факультетской больницы с поликлиникой Банская Быстрица; Факультет здравоохранения Словацкого медицинского университетаСловакия2nd Children’s Clinic of Slovak Medical University and Children’s Department Hospital with Polyclinic; Health Care Departmenty of Slovak Medical UniversitySlovakiaИнститут медицинских дисциплин, Университет здоровья и социальных наук Святой Елизаветы; Национальный институт онкологииСловакияInstitute of Medical Disciplines, St. Elizabeth University of Health and Social Sciences; National Cancer InstituteSlovakia2020191120206556672Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20202020Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/1239

С целью обмена опытом предлагаем к рассмотрению клиническое наблюдение, заслуживающее внимания педиатров и анестезиологов. Клинические и лабораторные признаки у подростка с сахарным диабетом соответствовали коронавирусной пневмонии, обусловленной COVID-19. В диагностике и лечении пациента важную роль сыграл «Протокол диагностики, тактики ведения и лечения педиатрических пациентов с COVID-19» группы авторов из Словакии, одобренный Словацким педиатрическим сообществом. Согласно этому протоколу большое значение в своевременной диагностике коронавирусного заболевания принадлежит компьютерной томографии легких, так как при рентгенологическом исследовании не всегда удается выявить вирусную пневмонию. Описываем успешный опыт использования интеллектуального режима адаптивной поддерживающей вентиляции легких (ASV) — от интубации к экстубации. При вирусных пневмониях рекомендуем применять режим ASV, чтобы обеспечить протективную вентиляцию и быстро отлучить пациента от искусственной вентиляции легких, избежав возникновения осложнений.

To exchange experience, the article describes an interesting clinical case of coronavirus pneumonia in a pediatric patient with diabetes mellitus. This case deserves the attention of pediatricians and anesthetists. A teenager with diabetes mellitus had the clinical and laboratory signs of coronavirus pneumonia caused by COVID-19. The Protocol for the diagnosis, management and treatment of pediatric patients with COVID-19 written by a group of authors from Slovakia, approved by the Slovak Pediatric Society played an important role in the diagnosis and treatment of this patient. The Protocol describes an important role of computed tomography of the lungs in the timely diagnosis of coronavirus disease, since it is not always possible to diagnose viral pneumonia via X-rays. The authors describe the successful experience of intelligent ventilation mode of Adaptive Support Ventilation (ASV) — from intubation to extu-bation. For viral pneumonia, we recommend using the ASV mode to achieve protective ventilation and quickly wean the patient from the ventilator, to avoid complications.

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The authors declare that there are no conflicts of interest present.